Word: hmos
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Dates: during 2000-2009
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...their judgment could have sweeping ramifications for the health care industry. Some speculate the Court will keep a relatively hands-off approach, leaving the bulk of the decision-making to Congress. On the other hand, it could instigate an aggressive investigation into the constitutionality of legislation that largely protects HMOs from being sued for denial of service. A defense lawyer may have inadvertently hit the nail on the head when he said, "It is no exaggeration to suggest that the future of medical care in its delivery and its regulations are implicated by this case. If my client's setup...
...general public has spent the last 10 years dealing with HMOs - and now it's time to drag the members of the Supreme Court into the fun. For the first time, the Court will consider a case that addresses one of the most combustible aspects of the health care debate: Should patients be allowed to sue health maintenance organizations when they believe they have been denied treatment because a doctor had a financial incentive...
HPHC is one of three major HMOs in the state. If HPHC is dissolved, its 1.1 million subscribers--which include many Harvard employees--will be turned over to other health-care providers. This reduced competition could result in higher premiums and poorer care. It would also mean the loss of what once was a premier non-profit HMO in the country, a valuable counter-balance to the powerful for-profit HMOs that dominate the health-care industry. Massachusetts Attorney General Thomas F. Reilly has rightly expressed a preference to keep the HMO a non-profit organization, so that premiums...
HPHC also has a historical tie to the University. In 1969 Robert H. Ebert, then dean of HMS, created Harvard Community Health Plan, one of the first three HMOs in the country and persuaded the University to give its name to the plan. Through various mergers, this group would later become HPHC...
There are real health risks in this new tightfistedness. Since there's little or no scheduled follow-up, the ED is not the best place to get general medical care. In many states, ED doctors are concerned that HMOs require trauma patients, once they're stabilized, to be moved to an in-plan hospital too soon. And specialists in California, fed up with managed care's unwillingness to compensate them fully, are rebelling against providing voluntary, on-call backup, a critical component of the ED system. To keep them on duty, some hospitals have to fork out $1,000 daily...